Male or Other

Michael G. Bowman LPE

Clinical Psychologist in Talbott, TN(View on Map)

Full Name

Michael Gene Bowman LPE

NPI Number

1770575789

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/16/2005

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

PE1422

Contact
Information

Purpose

Mailing
Location

Address

DEPARTMENT 888182
6350 W ANDREW JOHNSON HWY

City

Knoxville
Talbott

State

TN
TN

Postal Code

37995-0001
37877-8605

Country

US
US

Telephone Number

(800) 355-3565
(423) 587-7337

Identifiers

Identifier

5441317

Identifier State

TN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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